Individual
CRAIG ALLEN STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8227 NORTHWEST BLVD STE 160, INDIANAPOLIS, IN 46278-1386
(317) 415-5747
Mailing address
8227 NORTHWEST BLVD SUITE 160, INDIANAPOLIS, IN 46278
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
36001288A
IN
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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